Healthcare Provider Details
I. General information
NPI: 1538294814
Provider Name (Legal Business Name): HOLLY BARROWS,M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2007
Last Update Date: 09/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1897 OHIO DR
GROVE CITY OH
43123-4839
US
IV. Provider business mailing address
1897 OHIO DR
GROVE CITY OH
43123-4839
US
V. Phone/Fax
- Phone: 614-875-1721
- Fax: 614-820-2337
- Phone: 614-875-1721
- Fax: 614-820-2337
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 35048629 |
| License Number State | OH |
VIII. Authorized Official
Name: DR.
HOLLY
JEAN
BARROWS
Title or Position: PRESIDENT
Credential: MD
Phone: 614-875-1721